How To Do Transcutaneous Vagal Nerve Stimulation (TVNS)
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- čas přidán 30. 01. 2022
- Transcutaneous Vagal Nerve Stimulation (TVNS) is a passive activation of the Vagus Nerve.
TENS Unit: amzn.to/3geQd6G
Ear Clip: amzn.to/3soCArx
TVNS Instructions PDF: c18a153e-943b-4e92-ae68-35131...
Useful Supplements: us.fullscript.com/protocols/f...
Settings:
Pulse width: 200 milliseconds
Mode: Normal mode
Pulse frequency: 30 Hz (Unless directed to do a rotating frequency)
Intensity: To start, turn the dial up until you barely feel a sensation, then turn it down until you just barely don’t feel it. Leave it there. This is a “subthreshold” intensity.
Duration: Begin with 12 minutes per day, two-three times per day. This could be paired just prior or post meals. Or, try morning and evening. If the tVNS is too activating, avoid evenings and only use in the morning or mid- day. Work up to 15-17 minute sessions. - Jak na to + styl
Trying this for long covid. Thanks for sharing.
Excellent demonstration of this device, and explanation of its uses.
best info about this I've found yet - everything is a sales pitch for overpriced equipment, most of which also affect the right side
Thank you! We saw that problem too. WAY too many overpriced specialized "devices", when the basics work well!
Very nice! Even the video relaxed me!
Dr. R's voice has that effect. Haha!
Thank you
This is a very helpful video. I will be doing this for digestion issues, mainly reflux and burning mouth. I believe my issues are nerve related, so hopefully this will help!
If it doesn't work with reflux I recommend trying iqoro since it helped me.
A little correction: The Vagus nerve (CN10)does not come from your midbrain. It comes from the Medula. If it has ramifications going to the auricular region I don't know. Stimulation of vagus nerve to improve digestion can't do much if people with constipation can't squat on the toiled to help properl food bolus downward, don't drink water and eat only meats and refined, processed grains such as white pasta, bread, etc...
Ah! Good catch. Thank you! Agreed- in 1:1 consultation with patients we are definitely working on mechanics of elimination, dietary improvements, and other stress-reduction habits.
Is there a greater benefit in attaching to the concha versus the tragus on the left ear? I’ve read differing opinions. Vagus nerve damage (autonomic dysfunction due to removal of bilateral carotid body tumors)
Looking for advice if you have any for using TENS for neck spasms after the high dose of radiation treatment? I would like it if we could take this offline, if possible, not sure if that can be done or not. Thanks in advance for your help here.
Question: if I were to do the vagus taping hack, do I only tape the left side as well, or is it okay to do both sides?
Thanks!
Hi there, would you say this can be at all similar to an effect of High Intensity Interval Training on the vagus nerve? I can’t really imagine how it would be since that is kinda it’s own thing but just wondering
Edit: ahh Just watched the whole thing I guess not since it’s not involved in elevating heart rate. Would you know of any other device similar that might increase/raise heart rate and stimulate VN?
What intensity/mA are you using? I set mine between 8-13 and got shortness of breath and heartburn.
Could you tell me what parameters are you using in the device? Thank you
Great video! Some studies on TVNS put the ear clips on the tragus as opposed to the concha to stimulate the vagus nerve. What are thoughts? C
Yes! We use both options, particularly if there is not enough surface area on the concha to fit the clip. Both options give benefit. Further, we have seen mild success with using a patch electrode just behind the left ear along the neck if a clip is not available.
I just got my TENS machine and I am using it for the first time. What about the "rate"? In the video it is 150 hz and in the pdf it is 30?!
What is the battery life of this device? How long does it run before battery replacement?
Is this safe for an epileptic? How often and what duration would be best for someone with that condition?
How long do you think it takes to show prodigious results??
Do you have an idea of which method would be more effective - either doing the sessions in a calm relaxed state, or intentionally choosing to do the session amidst a more stressed and sympathetic state (to assist the body to return quicker to the parasympathetic state?)
Most often, we recommend using it in the calm state as a means of modulating the stress response. (Ie: prepare us to better deal with stressors) But, we have seen success in patients using it in that stressed time. Specifically, we had a patient use it DURING tense conversations with a partner.
On the lowest intensity setting I feel a stinging sensation which only goes away if i reduce the pulse width from 200 to 100, is this pulse width fine or do i need to work towards the 200 pulse width in the video?
who did that Bison image in the corner, may i ask ?, been looking for his name for a minute.......
Could doing this trigger a dry cough through the day and night?
Is this similar to products such as neuvana vagus nerve stimulator? If so, it makes me wonder why other products charge so much! btw you sound like us over here in wi :)
That's a new product to me! Just did some reading on their website. It looks like they are using similar electrical signals. Cool technology that they are able to adapt different wavelengths/pulses with the connected app as they develop them. But, yes, seems like an over-investment when you can achieve the same effects with a TENS unit (which is what all of their cited studies use). Dr. R is a fellow WI native!
How many times a day do you recommend? Thanks for a great video.
Generally, no more than twice about 12 mins each. Depending on how you respond, it could be really good to do just before main meals or as a evening/morning routine.
Where do you buy the ear clip from? It's currently unavailable on amazon. I often see this paired with a pad on the left shoulder too, but the only products I can find are double ear clips for both ears. I have Long Covid/ME CFS and now dysautonomia with POTS that I'm trying to heal
Same here,pots,dysautonomia
amazon has them
Excellent video! Can TENS VNS also be useful for cardiac arrhythmias and dysautonomia? Thanks.
We absolutely use this often for dysautonomia (in conjunction with other treatments like improving mineral balance). I can't make a solid recommendation for arrhythmia, and would recommend consulting with a cardiologist on efficacy.
Please answer my question.....can tens Unit vagal nerve stimulation affect my legs? I can barely walk, have been using tens Unit a month or more.
Hi Maurice, TENS has different uses beyond vagal nerve stimulation and has been used for muscle pain in the legs. I don't think that TVNS is the best application to improve your issue. If you are suggesting this is an onset of symptoms (inability to walk) since using the TENS, we recommend you reach out to a local doctor who can assess you.
Where do we get the lead wires with a ground? Also the internal ear wire with the pad?
Amazon
Can you change the hz on the TENS machine in this video- TENS 7000?
Yes the TENS 7000 is programmable by hz.
I'm curious will this work for someone who gets socially anxious at group meetings? Will this completely prevent symptoms of a panic attack?
Individual response varies. However, we have seen success for patients with history of panic attack. Particularly if you can recognize the onset of symptoms and utilize in those moments. Try it out just before going into your meeting and see if it changes your resiliency to the anxiety typically experienced.
When would you expect the peristalsis to improve? Time frame?
Hi Hannah, It is very dependent on your nervous system tendencies. You may notice immediate 'gurgling' in the stomach as you shift into the parasympathetic state during the stimulation. Regular use of the TVNS is recommended for longstanding constipation.
Eating vegan diet right now. Don't want arachidonic acid in egg yolk. Will choline bitartrate supplement be okay/recommended?
We use liposomal formulas encased in phosphatidylcholine from sunflower. This gives you the benefit of bioavailable choline PLUS glutathione (a powerful antioxidant) or GABA (a calming neurotransmitter). You can view the products we recommend here: us.fullscript.com/protocols/facilitydenver-tvns
Kind of intimidated to buy and maneuver... do the colors of the wires and pads mean anything (red, black)? Basically I have no prior knowledge but I feel that stimulating the vagus nerve could help with my mental health issues and addictions. I figure stimulating this nerve may even boost endorphins
It’s very easy.
hi, I have dyautomonia and I just did 200 width at 25hz.used ear clips on both ears and I did like 30/40 mins one session but it made me feel worse. I've done ice cold baths but can't do them because it's too intense and makes symptoms worse.. can you recommend how to do it or have I got it all wrong? thank you.
He said do not do more than 20 minutes. And make sure you have the correct settings
Other channels say to put the clip on the tragus part of the ear as opposed to the conch. I suppose either is ok? I'm a bit confused
I’ve seen them do both.
I tried doing this exactly with the ear clip over 3 months ago a few times. I stopped because it caused chronic facial pulling that moves around from forehead to eyes, nose, mouth, teeth and neck. It is an involuntary pulling flexing buzzing feeling that comes and goes. I’m never using this machine ever again and I’m wondering if this will ever go away now. Have you ever heard of this happening to anyone ?
Do you still feel this friend? I wana be there for you
Is it possible for this to cause physical damage to the vagus nerve? Like if you accidentally turn up the dial too quickly at first/turn it up higher than you meant to, but then turn it down right after that? Really hoping the answer is no
I do not expect a quick increase in stimulation to cause physical damage to the vagus nerve. Some patients like a much higher stimulation than we recommend. Especially if you had the other settings in place. Our nervous system (and brain) can handle a surprising amount of insult!
@@thefacilitydenver Thank you for the reply!
Could Alpha GPC be used as choline supplement instead of GABA?
Sure thing (assuming it contains Phosphotidylcholine as a lipid component). It's not the GABA, but the encasement that we like!
@@thefacilitydenverwhat kind of side effects can you get? All of them please I’m a super sensitive person.
Why every time i feel on different intensity?
Sometimes at 5 it burns like hell and sometimes at 18 is feel small buzzing)
Is it normal to go up to 18m
Our bodies can have different tolerance on different days. We find it useful to go by sensation rather than a number on the dial that you expect to be at. Some days it might be quite low, others may take more stimulation!
Can you use this with a dr ho unit! I already have one
I'm not familiar with this device. Any TENS unit that is programmable should work. You'll need one that is particularly sensitive to adjust the intensity and pulse width very LOW.
Does this help with anxiety and depression if so how much thank you
Hi again so does it help
Yes! Improved vagal tone has impacts on cognitive function as it relates to brain inflammation, cortical firing, and restoring parasympathetic/sympathetic balance. "How Much" is a tough question, as that can be largely subjective. It's certainly a safe and useful technique to add on top of a nutrient-dense diet and mental health therapy.
I have a HiDow TENS unit. The electrode wire with ear clips came with two ear clips on one cord. Is it safe to have it stimulatimg both ears. Where I can find an electrode cord like yours with a clip and a patch on one wire? Been searching. I guess yours came with the TENS unit you have?
You wouldn't want to stimulate BOTH ears, as the right ear has nerve pathways that may activate the heart. LEFT EAR ONLY! However, what you can do is clip the 'active' (usually the red wire) to the spot we show, and clip the 'inactive' lead (usually a black wire) to the left earlobe as a ground.
I think you forgot to set frequency. Should be 20-25 hz. Thanks
You did not mention what number you felt the buzzing
You can find the specific recommendations on settings in the PDF linked in the description!
Isn't 10 mA to much?
Can This Help Tinnitus Sufferers ? Thank You !
Hi, Peter, There have been trials on VNS and tinnitus. Results are mixed, and conclusions were muddled due to bias. Here's a link from a 2021 review: www.ncbi.nlm.nih.gov/pmc/articles/PMC7951891/
It helped tremendously with my tinnitus!
@@debsueredhead
How long did it take and how often did you use it?
@@lucasm3879 It took a month of using it at least four times a day for 20 mins at a time. It hasn't come back and I still use it daily.
@@debsueredhead
That's great, thanks for the reply!
Where do you buy the clips please
We find them on Amazon! The ones we used to use are out of stock. Here's an updated link that is compatible with the TENS 7000. : amzn.to/491j208
@@thefacilitydenverlink didn’t work for me but I searched in search bar on Amazon and it came up with the ear clip compatible with the tens 7000
I can't get the ear clip off Amazon. Is there something else I could use?
I got mine from the same place I purchased a tens unit. Tenspros
Is it OK to do it for 30 minutes
We really recommend sticking to around 10-12 minutes per session. You can think of this similar to 'exercise' - there's definitely a point of overdoing it and negating the positive effect. TVNS can be particularly depleting of certain nutrients, so doing too much can tax your body of things like acetylcholine.
Ty!!
Try to ground on the earth with bare feet, hands, skin, it thins the blood, decreases inflammation, stress and anxiety!
Is there any dangers like cardiac arrest from this?
There are nerve fibers that run from the right ear to the heart, which is why we try to make it VERY clear that stimulation is safe on the left ear, but not recommended for the right ear.
Does putting the device in close proximity to the brain (the ear or back of ear along the neck) pose any dangers?
They sell double electrode clips on amazon for a couple dollars... There is no need to the DIY crap.
Yes!! The market on these has since exploded and we are happy to see it!